0:00

Okay, here we have another CT scan of the abdomen

0:03

and pelvis with contrast showing the liver

0:06

and spleen to be enhancing homogeneously.

0:08

As we come down, we're going to see that the bowels

0:11

without evidence of obstruction, the kidneys

0:12

look pretty good, but as we come down to that

0:15

left lower quadrant again, we start seeing some

0:17

inflammation, some thickening along the sigmoid

0:20

mesocolon here, and then we actually see.

0:22

This is a sigmoid colon with a lot of

0:24

diverticula and a lot of diverticulitis,

0:26

thickening of the wall, inflammation.

0:29

Look at all those beautiful epiploic appendages that

0:31

are all outlined in fluid, but adjacent to that

0:35

sigmoid colon is a dilated fluid collection and air-fluid

0:39

collection and extraluminal fluid collection consistent

0:42

with perforation and a drainable fluid collection.

0:46

Here we see on coronal again, we have

0:48

nice enhancing walls, making that a nice

0:50

abscess and target for percutaneous drain.

0:53

So this would be a complicated

0:55

diverticulitis with abscess formation.

0:57

We would look elsewhere in the abdomen

0:59

to see if there's any other signs of

1:00

inflammation, but this is a pretty classic

1:04

appearance of complicated diverticulitis.

Case: Diverticulitis, Perforated with Abscess

HIDE

Prev Next

Interactive Transcript

Pro Tip: Click on a word in the transcript to jump to that point in the video